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Enteric perforation--single-layer closure.

V K Shukla1, S P Sahoo, V S Chauhan

  • 1Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221 005, India. vkshuklabhu@satyam.net.in

Digestive Diseases and Sciences
|March 3, 2004
PubMed
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Surgical closure of enteric perforation using single- or double-layer techniques showed comparable outcomes. Preoperative shock significantly impacts patient prognosis, highlighting the importance of effective perforation management over specific closure methods.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Clinical Outcomes

Background:

  • Enteric perforation is a critical surgical condition.
  • Surgical closure techniques, including single-layer and double-layer methods, are employed.
  • Optimal management strategies require further investigation.

Purpose of the Study:

  • To prospectively compare the outcomes of single-layer versus double-layer closure for enteric perforation.
  • To identify key prognostic indicators in patients undergoing surgical repair of enteric perforation.

Main Methods:

  • Prospective study of 100 patients with enteric perforation.
  • Surgical treatment involved either single-layer or double-layer closure.
  • Mortality and morbidity rates were recorded and compared between groups.

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Main Results:

  • Mortality rates were 10-18% and morbidity rates were 37-42% in both closure groups.
  • No significant difference in mortality or morbidity was observed between single-layer and double-layer closure.
  • Preoperative shock emerged as the most significant negative prognostic indicator.

Conclusions:

  • The choice between single-layer and double-layer closure for enteric perforation does not significantly affect patient outcomes.
  • Effective management and timely intervention for patients in preoperative shock are crucial for improving prognosis.
  • Focus should be on the quality of perforation closure rather than the specific technique (single- vs. double-layer).